Entry 01 - Why I Started This.
Understanding the system isn’t enough — we need to change it.
I started this project because I’ve seen too many clinical decisions made in systems that weren’t designed for clinicians.
Too many workflows designed in meetings, not in medication rooms.
Too many tools built by teams who never had to explain them to a patient at discharge.
I earned my PharmD because I care about safe, evidence-based care.
But I kept finding myself more interested in the workflow around the medication than the drug itself.
The moment the prescription is written…
Who verifies it? How quickly? On what platform? Does the pharmacist have enough information? Is the patient still in the building? Will they take it correctly when they get home?
These aren’t just operational questions — they’re clinical safety questions.
That’s what this site is about.
Where This Starts
I’ve worked inside:
Urgent care clinics
Health systems using Epic, where CDS rules were either ignored or hated
Community settings where patients couldn’t read their own prescription labels
And in every environment, one thing became clear:
Even the best clinical judgment breaks down in a broken system.
You can have brilliant pharmacists, sharp physicians, and engaged nurses —
But if the workflow is clunky, the tech gets in the way, and the patient doesn’t understand what they’re being told...
We fail.
What I’m Building Here
This is my public lab.
A place to:
Document the real work I’m doing (as a learner, not a guru)
Share what’s broken in pharmacy tech and how I’m trying to fix it
Think out loud about how we could build safer, smarter systems
You’ll see posts on:
EPIC builds and CDS logic
Med history intake issues no one’s addressing
Automation tools I’ve built in Power Platform to reduce manual errors
Visual design solutions for health literacy gaps
The weird, unseen ways that policy affects prescribing and dispensing
Some posts will read like notes from the field.
Some will feel like case studies.
Others will just be me trying to make sense of something that didn’t sit right on rounds, or during a consult, or in front of a patient.
Why You Might Care
If you’re a pharmacist, clinician, informaticist, or healthcare operator trying to build something better — I hope this helps.
Not because I have the master blueprint, but because I’m showing the work.
If nothing else, maybe it’ll remind you that someone else is out here noticing the same things — and trying to do something about it.
Let’s fix it, one workflow at a time.
— Mehdi